Colonial Terrace Nursing Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314000000X Issued in OK

Legal business name

COLONIAL TERRACE NURSING CARE CENTER LLC

Practice address

1320 NE 1St PL
Pryor, OK 74361-4406

Phone

(918) 825-5311

Fax

(918) 825-4439

NPI assigned

Oct 4, 2005

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra Taylor

Title

VP in Charge of Reimbursement

Phone

(918) 775-6200

Specialties & licenses 1

Addresses

Other names 1

• Colonial Terrace Care Ctr Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669469755. Details of each certification follow.

• CCN 375299 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 375299

Legal name

COLONIAL TERRACE NURSING CARE CENTER LLC

Doing business as

COLONIAL TERRACE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 14, 1997

Last certification

Jun 21, 2024

Beds

75

Ownership / control type

Limited Liability Corporation

Multi-facility organization

LTC Accounting Services, LLC

Organization structure

LLCProprietary

Enrollment address

1320 NE 1St PL
Pryor, OK 74361-4406

Nursing home name

COLONIAL TERRACE CARE CENTER

Affiliated entity

BGM ESTATE

Listed as

Colonial Terrace Care CenterCCN 375299 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 14, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7539.4 residents per day on average

Chain

BGM Estate15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Antlers Manor LLC

  dba Antlers Manor

  • Skilled Nursing Facility
  • Antlers, OK
  • NPI 1922095009

  BGM Estate LLC, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Calera Manor LLC

  dba Calera Manor

  • Skilled Nursing Facility
  • Calera, OK
  • NPI 1619964756

  BGM Estate LLC

  CMS ownership
• Choctaw Nation Care Center LLC

  dba Choctaw Nation Care Center

  • Skilled Nursing Facility
  • Antlers, OK
  • NPI 1023005113

  BGM Estate LLC, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Colbert Nursing Home Inc.

  dba Southern Pointe Living Center

  • Skilled Nursing Facility
  • Colbert, OK
  • NPI 1427045210

  Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Colonial Care Center, LLC

  dba Meadowbrook Nursing Center

  • Skilled Nursing Facility
  • Chouteau, OK
  • NPI 1457348450

  BGM Estate LLC

  CMS ownership
• Great Plains Care Center Inc.

  dba Cimarron Nursing Center

  • Skilled Nursing Facility
  • Kingfisher, OK
  • NPI 1265429344

  Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Homestead of Hugo LLC

  dba Homestead of Hugo

  • Skilled Nursing Facility
  • Hugo, OK
  • NPI 1467730036

  BGM Estate LLC

  CMS ownership
• Jan Frances Care Center LLC

  dba Jan Frances Care Center

  • Skilled Nursing Facility
  • Ada, OK
  • NPI 1649267733

  BGM Estate LLC

  CMS ownership
• Medi-Plex Nursing Centers Inc.

  dba Boyce Manor Nursing Home

  • Skilled Nursing Facility
  • Holdenville, OK
  • NPI 1356338438

  Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Salina Care Center LLC

  dba Parkhill North Nursing Home

  • Skilled Nursing Facility
  • Salina, OK
  • NPI 1538156625

  BGM Estate LLC, Philip M. Green Revocable Trust, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Shady Rest Care Center, LLC

  • Skilled Nursing Facility
  • Pryor, OK
  • NPI 1437146529

  Angelus Holdings LLC, BGM Estate LLC, Philip M. Green Revocable Trust, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership
• Shamrock Care Centers LLC

  dba First Shamrock Care Center

  • Skilled Nursing Facility
  • Kingfisher, OK
  • NPI 1912994997

  Angelus Holdings LLC, BGM Estate LLC, Philip Marion Green Exempt TR Cu Gilbert F Green TR, Tiffany Seay Exempt TR

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1669469755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ELM ST",
            "address_2": "SUITE A",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554633",
            "telephone_number": "918-775-6200",
            "fax_number": "918-775-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NE 1ST PL",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614406",
            "telephone_number": "918-825-5311",
            "fax_number": "918-825-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL TERRACE NURSING CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VP IN CHARGE OF REIMBURSEMENT",
        "authorized_official_telephone_number": "918-775-6200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "314000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Terrace Care Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Briana Paige Coffelt
• Angela Marie Cohen, PT
• Nakita Marie Traber Collier
• Heather Denae Collins, LPN
• Korbiann Layne Collins
• Nathan Colwell Jr., DPH
• Mikala Sue Compton
• Cynthia Leigh Conine
• Breanna Nicole Cook, MHR, LPC-C
• Jesse Dale Cook

• Skilled Nursing Facility in Pryor, OK
• Providers in Pryor, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.